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What is the MOST appropriate step to take ahead of the Member's annual Level of Care coming due, if Care Manager can't confirm Member eligibility?
What is the MOST appropriate step to take ahead of the Member's annual Level of Care coming due, if Care Manager can't confirm Member eligibility? Notify Member family of pending Waiver ineligibility, assist with transition planning, and assist with Fair Hearing process UPON CAREGIVER REQUEST End their K codes by emailing Capacity Management and send family the NOD Review Freedom of Choice and Notice of Decision to Disenroll, then email Capacity Management
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